FORSYTH COUNTY DBA CLEVELAND AVENUE DENTAL CENTER NPI 1346626587

NPI Information

NPI: 1346626587
Provider Name: FORSYTH COUNTY DBA CLEVELAND AVENUE DENTAL CENTER
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
501 N CLEVELAND AVE STE 1
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 703-3101
Get Directions

FORSYTH COUNTY DBA CLEVELAND AVENUE DENTAL CENTER is a public health and state or local clinic center in Winston Salem, NC. FORSYTH COUNTY DBA CLEVELAND AVENUE DENTAL CENTER NPI is 1346626587. The provider is registered as an organization entity type.

The provider's business location address is:

501 N CLEVELAND AVE STE 1
WINSTON SALEM, NC
ZIP 27101-366
Phone: (336) 703-3101

The provider's authorized official is Josh Swift .
The authorized official title is Health Director and has the following contact phone number (336) 703-3117.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3404334	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »